Escandón Romero C, García Manzo N T, Escobedo de la Peña J, Hernández Ramos J M, Olvera Alvarez J, Cabral Soto J
Rev Gastroenterol Mex. 1996 Oct-Dec;61(4):378-86.
Amebiasis still remains as a major public health problem in the world. It is one of the most common reasons for medical consult. There are more than half a million cases of amebiasis just at the Mexican Institute of the Social Security. There is still a lack of epidemiologic information on amebiasis in Mexico.
To describe the secular trend fro amebiasis and for amebic liver abscess in the Mexican population, as well as in those covered by IMSS Solidaridad.
An ecologic trend study was carried on. Incidence rate of amebiasis in all of its forms of presentation, and of amebic liver abscess, were plotted against each year for the 1986-1994 period.
Amebiasis incidence in all of its forms of presentation showed a stable trend in this period, as it was seen with amebic liver abscess. Amebiasis is more common in the first years of life. On the contrary, amebic liver abscess showed an inverted 'J' pattern; its occurrence is higher in the extreme years of life. Fatality rates have shown a descendent trend.
Amebiasis reflects socioeconomic conditions in Mexico and the fact that Mexican is still an endless culture. There is a need to promote health education, better diagnostic procedures and detection of asymptomatic carriers. Health policies for mothers that are asymptomatic carriers should be reviewed, due to the high rates of amebiasis and amebic liver abscess in children under one year of age.
阿米巴病仍是全球主要的公共卫生问题之一。它是就医咨询最常见的原因之一。仅墨西哥社会保障局就有超过50万例阿米巴病病例。墨西哥仍缺乏关于阿米巴病的流行病学信息。
描述墨西哥人群以及墨西哥社会保障局团结计划覆盖人群中阿米巴病和阿米巴肝脓肿的长期趋势。
开展了一项生态趋势研究。绘制了1986 - 1994年期间各种表现形式的阿米巴病发病率以及阿米巴肝脓肿发病率随年份的变化情况。
在此期间，各种表现形式的阿米巴病发病率呈稳定趋势，阿米巴肝脓肿的情况也是如此。阿米巴病在生命的最初几年更为常见。相反，阿米巴肝脓肿呈现倒“J”型模式；在生命的极端年龄段发病率更高。死亡率呈下降趋势。
阿米巴病反映了墨西哥的社会经济状况以及墨西哥仍是一个文化多元的国家这一事实。有必要促进健康教育、改进诊断程序并检测无症状携带者。鉴于一岁以下儿童中阿米巴病和阿米巴肝脓肿的高发病率，应对无症状携带者母亲的健康政策进行审查。
